Insurance Specialist

DCH Health System•Tuscaloosa, AL

6d•Onsite

About The Position

Responsible for managing and performing efficient and effective Accounts Receivable functions for DCH Regional Medical Center, Northport Medical Center, Fayette Medical Center, DCH Home Health and Home Medical Equipment. Responsible for accurately and timely reviewing, collection of all assigned billed insurance claims. Required to maintain individual and departmental goals for discharged and final billed accounts/claims for AR Aging, AR Days, Cash Collections, etc.

Requirements

High School education or equivalent is required.
Proficient in personal computer skills.
Very good interpersonal/communication skills, customer service skills and history of good attendance required
Must be able to read, write legibly, speak, and comprehend English.
Must be able to sit for extended periods of time and lift boxes up to 20 pounds.
Job requires ability to communicate through spoken word, ability to use fingers for data entry
Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work.
Must be able to perform the duties with or without reasonable accommodation.
Hearing and vision must be normal or corrected to within normal range.
Physical presence onsite is essential.
Job requires being reliable, responsible, and dependable, and fulfilling obligations
Job requires a willingness to take on responsibilities and challenges
Job requires being open to change (positive or negative)
Job requires analyzing information and using logic to address work-related issues and problems
Job requires being careful about detail and thorough in completing work tasks
The ability to remember information such as procedures.
The ability to understand information presented through spoken word or presented in writing.
The ability to communicate in speaking so others will understand.
The ability to tell when something is wrong. It does not involve solving the problem, only recognizing the problem.
The ability to concentrate on a task over a period of time without being distracted.
The ability to shift back and forth between two or more activities or sources of information.
The ability to make fast, simple, repeated movements of the fingers, hands, and wrists
The ability to focus on a single source of sound in the presence of other distracting sounds
The ability to speak clearly so others can understand you.
The ability to identify and understand the speech of another person
Must be results oriented,
Must be able to work independently with little or no supervision.
Must be able to work well with others.

Nice To Haves

One year or more of related experience in a Healthcare Business Office preferred.
Knowledge of insurance types related to claims billing and follow-up such as governmental, HMO, PPO, Commercial, etc.
Knowledge of federal, state, hospital, and departmental rules and regulations for compliant Healthcare claims filing and reimbursement preferred.

Responsibilities

Reviews and follows-up for claims processing/collection on all assigned billed insurance claims on a daily basis using Meditech, Optum, payer websites, and other software programs utilized in the Patient Accounts Department.
Ability to research and work assigned claims in a billed and unpaid status.
Accountable for productivity to meet individual and departmental goals. AR Aging AR Days, Cash Collections, etc)
Responds to and works with other DCH departments (Patient Access, Case Management, Medical Records, etc.)
Maintain professionalism and customer service on all interactions.
Makes recommendations to implement improved processes.
Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
Performs compliance requirements as outlined in the Employee Handbook
Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
Requires use of electronic mail, time and attendance software, learning management software and intranet.
Must adhere to all DCH Health System policies and procedures.
All other duties as assigned.